JACK CARL SHADER

CLARKSTON, MI
NPI1467535203
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MI  2901011126)
Enumeration Date2006-10-23
Last Update Date2007-07-08
Business Address
-- JACK CARL SHADER dds
6300 SASHABAW RD
CLARKSTON, MI 48346-2269
Phone number: 248-625-9444
Mailing Address
-- JACK CARL SHADER dds
6300 SASHABAW RD
CLARKSTON, MI 48346
Phone number: 248-625-9444
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